Mrs Karen May Nickell, MD is a
Family Medicine physician based in Palmyra, New York. Mrs Karen May Nickell is licensed to practice in New York (license number 212521) and her current practice location is 221 E Main St, Palmyra, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 502-4085.
NPI number for Mrs Karen May Nickell is 1396704060 and her current mailing address is 221 E Main St, Palmyra, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396704060.
Physician's Profile
| Full Name | Mrs Karen May Nickell |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 221 E Main St, Palmyra, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1396704060
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 03/23/2009
Medical Identifiers
Medical identifiers for Mrs Karen May Nickell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396704060 | NPI | - | NPPES |
| 01914272 | Medicaid | NY | |
| P010212521 | Other | NY | BLUE CHOICE |
| 1142 | Other | NY | BLUE CROSS/BLUE SHIELD |
| MDE045 | Other | NY | PREFERRED CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 212521 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Karen May Nickell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Karen May Nickell, MD
221 E Main St,
Palmyra, NY 14522-1127
Ph: (315) 502-4085 | Mrs Karen May Nickell, MD
221 E Main St,
Palmyra, NY 14522-1127
Ph: (315) 502-4085 |
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